Provider Demographics
NPI:1689309965
Name:FREETOLIVE COUNSELING SERVICES
Entity Type:Organization
Organization Name:FREETOLIVE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATISHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:484-496-4694
Mailing Address - Street 1:PO BOX 4662
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19715-4662
Mailing Address - Country:US
Mailing Address - Phone:484-496-4694
Mailing Address - Fax:
Practice Address - Street 1:4362 TROPHY DR
Practice Address - Street 2:
Practice Address - City:UPPER CHICHESTER
Practice Address - State:PA
Practice Address - Zip Code:19061-2617
Practice Address - Country:US
Practice Address - Phone:484-496-4694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health